A clinical study of thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domest

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RESEARCH ARTICLE

Open Access

A clinical study of thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products for cardiopulmonary bypass Hua Cao*, Qiang Chen, Qian-Zhen Li, Liang-Wan Chen, Gui-Can Zhang, Dao-Zhong Chen, Zhi-Huang Qiu, Yun-Nan Hu and Jia-Jun He

Abstract Objective: To discuss the feasibility and experience of treating valvular heart diseases with thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products for cardiopulmonary bypass. Methods: A total of 135 patients with valvular heart disease were admitted to our hospital between January 2011 and January 2013. They received thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products. A cardiopulmonary bypass with domestically-manufactured pipeline products was established during the surgery. The procedure was accomplished with the assistance of thoracoscopy through a small incision in the right chest wall. Results: All 135 patients underwent a successful surgery, and were followed up for the duration of half a year to two years. None of them displayed any evidence of complications. Our procedure had the advantage of fewer complications and a significantly shortened time period for the patient care and hospitalization. As opposed to imported pipeline products for cardiopulmonary bypass, our procedure had the advantage of similar clinical results at a lower cost. Conclusions: Thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty was proved to be a safe and effective method for cardiopulmonary bypass, with the use of domestically manufactured pipeline products. Keywords: Thoracoscopy assistance, Minimally invasive, Mitral valve surgery

Background Valvular heart disease is a commonly acquired heart disease in adults. The traditional treatment method has been the open-heart surgery under cardiopulmonary bypass. In recent years, more clinicians and patients favored the application of thoracoscopy technology in the heart surgery due to its multiple advantages. These included less surgical trauma, shorter hospital stay, an almost intact chest wall after the procedure without any steel wires left, and good cosmetic effects [1-4]. We performed thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty with the use of the domestically-manufactured * Correspondence: [email protected] Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Xinquan Road 29#, Fuzhou 350001, P. R. China

pipeline products for the cardiopulmonary bypass on 135 cases of valvular heart diseases between January 2011 and January 2013. The results were satisfactory and are reported below.

Methods The present study was approved by the ethics committee of Union Hospital, Fujian Medical University and adhered to the tenets of the Declaration of Helsinki. Additionally,